Trial reportJournal of orthopaedic surgery and research2017
Minimally invasive percutaneous osteosynthesis versus ORIF for Sanders type II and III calcaneal fractures: a prospective, randomized intervention trial.
Trial report in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 63 citations in OpenAlex.
- Closed reduction and percutaneous screw fixation with early rehabilitation versus cast immobilization in minimally displaced sanders type II-III calcaneal fractures: a two-center retrospective comparison of treatment protocols.BMC musculoskeletal disorders · 2026Article
- Comparison of Surgical Outcomes and Perioperative Laboratory Parameters Following Minimally Invasive Plate Osteosynthesis versus Conventional Plating in Long Bone Fractures.Journal of orthopaedic case reports · 2026Article
- Arthroscopic-assisted management of talus and calcaneus fractures: A narrative review of the clinical outcomes and surgical technique.Journal of experimental orthopaedics · 2025Review
- A finite element analysis of the optimal longitudinal screw trajectory for Sanders II and Sanders III calcaneal fractures fixed with percutaneous screws.BMC surgery · 2025Article
- A Mid-Term Result of the Treatment of Intra-Articular Calcaneal Fractures with the Use of Intramedullary Nailing.Journal of clinical medicine · 2025Article
- Comparative Biomechanical Analysis of Anterior Process Locking Plate Alone versus Combined with Percutaneous Cannulated Screw Fixation for Sanders Type II Calcaneal Fractures: A Finite Element Study.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Intra-Articular Calcaneal Fractures: Comparison between Mini-Invasive Approach and Kirschner Wires vs. Extensive Approach and Dedicated Plate-A Retrospective Evaluation at Long-Term Follow-Up.Journal of clinical medicine · 2022Article
- Predictors for wound healing complications and prolonged hospital stay in patients with isolated calcaneal fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Global research trends and hotspots in calcaneal fracture: A bibliometric analysis (2000-2021).Frontiers in surgery · 2022Article
- Three-dimensional computed tomography mapping of 136 tongue-type calcaneal fractures from a single centre.Annals of translational medicine · 2021Article
- Calcaneal fractures: 3D-printing model to assist spatial weaving of percutaneous screws versus conventional open fixation-a retrospective cohort study.International orthopaedics · 2021Article
- C-Nail versus plate osteosynthesis in displaced intra-articular calcaneal fractures-a comparative retrospective study.Journal of orthopaedic surgery and research · 2021Article
- Intra-articular Calcaneus Fractures: Current Concepts Review.Foot & ankle orthopaedics · 2020Review
- Evaluation of Long-Term Quality of Life Using the Foot and Ankle Outcome Score (FAOS) Questionnaire in Patients Treated by Minimally Invasive Reduction and Percutaneous Stabilization of Intra-Articular Calcaneal Fractures.Medical science monitor : international medical journal of experimental and clinical research · 2020Article
- Comparing open reduction and internal fixation versus closed reduction using dual-point distraction and percutaneous fixation for treating calcaneal fractures.Joint diseases and related surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis randomized controlled trial compared the clinical outcomes and complications of a novel minimally invasive percutaneous osteosynthesis (MIPO) with those of conventional treatment via an extended L-shaped lateral approach for calcaneal fractures.
methodsSixty-four patients with displaced intraarticular calcaneal fractures were enrolled. The patients were randomly allocated to receive either MIPO (29 patients) or open reduction and internal fixation via an extended L-shaped lateral approach (35 patients). The same calcaneal plate (AO Synthes, Oberdorf, Switzerland) was used in both groups. The primary clinical outcomes included operative time, VAS postoperatively, and wound healing complications. Secondary clinical outcomes included time to operation, length of incision, postoperative drainage, length of hospital stay, medical expense, AOFAS score, and SF-36 score. Preoperative and postoperative calcaneal height, width, and length, Bohler's angle, and Gissane's angle were compared.
resultsThe operative time in the MIPO group was 52.5 ± 11.1 min, which was significantly shorter than 82.8 ± 16.2 min in the conventional treatment group (P < 0.001). One week postoperatively, the VAS value was 3.2 ± 1.4 in the MIPO group, which was lower than that in the conventional treatment group, 3.9 ± 1.3 (P = 0.038). In the conventional treatment group, 13 of 35 fractures (37.1%) had wound healing problems, whereas this issue occurred in only 2 of 29 fractures (6.7%) in the MIPO group (P = 0.004). In the MIPO group, deep and superficial infections occurred in none of the cases and 1 of 29 (3.4%) patients, respectively. Length of incision in the MIPO group was shorter than that in the conventional treatment group (4.2 ± 0.6 vs. 10.9 ± 1.5 cm; P < 0.001). Hospital stay was 9.7 ± 2.8 days in the MIPO group and 11.7 ± 2.6 days in the conventional treatment group (P = 0.004). At the last follow-up, the SF-36 scores and AOFAS scores in the two groups were comparable (P > 0.05). The postoperative radiographic data, the Bohler's angle, Gissane's angle, and calcaneal height, width, and length in the two groups were comparable (P > 0.05).
conclusionsCompared with conventional ORIF, the advantages of MIPO are a considerably shortened operating time and hospital stay, decreased postoperative pain, and reduced risk of wound healing complications.
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